Shayda Mirhaidari (NPI# 1962792515, PAC ID# 9931435252) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1962792515 |
| PAC ID by PECOS | 9931435252 |
| Professional Enrollment ID | I20190724003163 |
| Full Name | Shayda Mirhaidari |
| Organization Legal Name | CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC |
| Address |
3925 Embassy Pkwy 300 Crystal Plastic Surgeons Akron OH 44333-1799 |
| Phone Number | 3306684065 |
| Gender | F |
| Medical School | NORTHEASTERN OHIO UNIVERSITIES COLLEGE OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 6507934015 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360351 | CRYSTAL CLINIC ORTHOPAEDIC CENTER |
| 360020 | SUMMA HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 3925 Embassy Pkwy, 300 Crystal Plastic Surgeons, Akron, OH 44333-1799 | 3306684065 | CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC |
| Organization Legal Name | CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan J Urchek | Sports Medicine | Crystal Clinic Orthopaedic Center, LLC | 1622 E Turkeyfoot Lake Rd, Suite 200, Akron, OH 44312-5277 |
| Brittany N Johnson | Physician Assistant | Crystal Clinic Orthopaedic Center, LLC | 444 N Main St, Akron, OH 44310-3110 |
| William F Scully | Orthopedic Surgery | Crystal Clinic Orthopaedic Center, LLC | 437 Portage Trl, Cuyahoga Falls, OH 44221-3227 |
| Kodi Veale | Physician Assistant | Crystal Clinic Orthopaedic Center, LLC | 444 N Main St, Akron, OH 44310-3110 |
| Nathan A Monaco | Hand Surgery | Crystal Clinic Orthopaedic Center, LLC | 3975 Embassy Pkwy, Akron, OH 44333-8320 |
| Jessica L Koberling | Physician Assistant | Crystal Clinic Orthopaedic Center, LLC | 444 N Main St, Akron, OH 44310-3110 |
| Mary T Reilly Pelini | Physician Assistant | Crystal Clinic Orthopaedic Center, LLC | 444 N Main St, Akron, OH 44310-3110 |
| Elliott N Clark | Physician Assistant | Crystal Clinic Orthopaedic Center, LLC | 444 N Main St, Akron, OH 44310-3110 |
| Nicholas A Sudzina | Physician Assistant | Crystal Clinic Orthopaedic Center, LLC | 444 N Main St, Akron, OH 44310-3110 |
| Gina M Solomon | Nurse Practitioner | Crystal Clinic Orthopaedic Center, LLC | 444 N Main St, Akron, OH 44310-3110 |
| Street Address |
3925 EMBASSY PKWY 300 CRYSTAL PLASTIC SURGEONS |
| City | AKRON |
| State | OH |
| Zip | 44333-1799 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael G Parker | Plastic and Reconstructive Surgery | Crystal Clinic, Inc. | 3925 Embassy Pkwy, Akron, OH 44333-1782 |
| John W Dietrich | Hand Surgery | Crystal Clinic, Inc. | 3925 Embassy Pkwy, Akron, OH 44333-1763 |
| Mollie O Manley | Hand Surgery | Crystal Clinic, Inc. | 3925 Embassy Pkwy, Akron, OH 44333-1763 |
| Douglas S Wagner | Plastic and Reconstructive Surgery | Crystal Clinic, Inc. | 3925 Embassy Pkwy, Akron, OH 44333-1782 |
| John X Biondi | Hand Surgery | Crystal Clinic, Inc. | 3925 Embassy Pkwy, Akron, OH 44333-1782 |
| Scot D Miller | Orthopedic Surgery | Crystal Clinic, Inc. | 3925 Embassy Pkwy, Akron, OH 44333-1763 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Beth Newey | Podiatry | 3451 Granger Rd, Akron, OH 44333-1532 | |
| Ian M Gradisar | Orthopedic Surgery | Crystal Clinic, Inc. | 3975 Embassy Pkwy, Suite 102, Akron, OH 44333-1763 |
| Brandy Mae Mansfield | Nurse Practitioner | Crystal Clinic, Inc. | 3975 Embassy Pkwy, Suite 102, Akron, OH 44333-1763 |
| Kaitlyn A Wattley | Nurse Practitioner | Crystal Clinic, Inc. | 3975 Embassy Pkwy, Suite 102, Akron, OH 44333-1763 |
| Kathleen Ann Opsitnick | Nurse Practitioner | Crystal Clinic, Inc. | 3975 Embassy Pkwy, Suite 102, Akron, OH 44333-1763 |
| Jeffrey S Noble | Orthopedic Surgery | Crystal Clinic, Inc. | 3975 Embassy Pkwy, Suite 102, Akron, OH 44333-1763 |
| Matthew D Kay | Orthopedic Surgery | Crystal Clinic, Inc. | 3975 Embassy Pkwy, Suite 102, Akron, OH 44333-1763 |
| Phillip Lewandowski | Orthopedic Surgery | Crystal Clinic, Inc. | 3975 Embassy Pkwy, Suite 102, Akron, OH 44333-1763 |
| Kyle Nelman | Sports Medicine | Crystal Clinic, Inc. | 3975 Embassy Pkwy, Suite 102, Akron, OH 44333-1763 |
| David B Kay | Orthopedic Surgery | Crystal Clinic, Inc. | 3975 Embassy Pkwy, Suite 102, Akron, OH 44333-1763 |
| Find all physicians in zip 44333 | |||
| City | AKRON |
| Zip Code | 44333 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | AKRON + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Shayda Mirhaidari.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.